• Utilization Management Nurse

    CVS Health (Columbus, OH)
    …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll play a ... initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners...etc. and clinical documentation systems. + 1+ Year of Utilization Review Management and/or Medical Management more
    CVS Health (08/27/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... from work._ **Required Qualifications** + 1 year of varied UM ( utilization management ) experience within an **outpatient** setting, concurrent review… more
    CVS Health (08/15/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Utilizes clinical experience and skills in… more
    CVS Health (08/20/25)
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  • Utilization Management Nurse

    CVS Health (Columbus, OH)
    …procedures/services or initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to ... meet quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management more
    CVS Health (08/15/25)
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  • Utilization Management Clinical…

    CVS Health (Columbus, OH)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is ... external constituents in the coordination and administration of the utilization /benefit management function **Required Qualifications** + Licensed independent… more
    CVS Health (08/09/25)
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  • Registered Nurse (RN) - Admissions…

    Bon Secours Mercy Health (Lorain, OH)
    …smooth transition to acute rehab unit. Maintains expertise in clinical field, utilization review and case management ; communicates to insurance companies/third ... excellence. **Primary Function/General Purpose of Position** The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute… more
    Bon Secours Mercy Health (08/18/25)
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  • Nursing Practice Specialist - Toledo Hospital…

    ProMedica Health System (Toledo, OH)
    …Specialist focuses on the lifelong learning needs of the professional nurse including orientation, continuing education, and ongoing competency development. The ... department, division, hospital or system level. He/she serves as a consultant , researcher, evidence-based practice mentor, performance improvement leader and project… more
    ProMedica Health System (06/18/25)
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